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Niche underwriting and medical qualification requirement reduces applicant pool despite Bangalore location.
Insurance underwriting audit requires domain-specific underwriting and medical interpretation skills, limiting cross-industry transferability.
Mandatory 5+ years underwriting experience and medical qualification create stringent candidate filters.
Conduct detailed audits of underwriting cases to ensure risk decisions, use of evidence, and documentation comply with carrier guidelines and SOPs.
Track, report, and analyze quality metrics such as error rates, decision accuracy, and SLA compliance, providing structured feedback to support underwriter coaching.
Identify trends and systemic issues in underwriting quality; collaborate with training and process teams to drive continuous improvements including SOP enhancement and automation initiatives.
Graduate/Postgraduate in Medicine or related field (M Pharma / Nursing / MBBS preferred).
Minimum 5 years experience in Life/Health Insurance Underwriting with exposure to underwriting quality or audit functions.
Strong knowledge of APS/EHR/Lab Piq interpretation and US-based underwriting guidelines.
Proficiency in MS Excel for trend analysis and reporting scorecards.
Experienced in managing or auditing underwriting quality in a life/health insurance environment, familiar with US underwriting standards.
Analytical and detail-oriented with the ability to translate audit findings into actionable feedback and process improvements.
Capable of collaborating effectively across underwriting, training, and leadership teams to drive quality assurance and operational enhancements.